person
Randy Burage
Mental Health Counselor in Elgin, Illinois
NPI 1790269710

Randy Burage is a Mental Health Counselor based in Elgin, IL and is specialized in Mental Health. Randy Burage practices in Elgin, IL. The NPI Number for Randy Burage is 1790269710 and holds a License No. (Illinois).

The current practice location address for Randy Burage is 430 Victoria Ln, Elgin, IL and can be reached out via phone at 773-554-7090.

Location: 430 Victoria Ln, Elgin, IL, 60124-3838
person
Provider Profile Details
NPI Number
1790269710
Provider Name
Randy Burage
Credential
Provider Entity Type
Individual
Gender
Male
Address
430 Victoria Ln, Elgin, IL, 60124-3838
Phone Number
773-554-7090
Fax Number
Provider Enumeration Date
09/17/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
$$$$$$$$$ 05 IL
1790269710 05 IL
institution
Provider Business Practice Location Address Details
Address
430 Victoria Ln
City
State
Zip
60124-3838
Phone Number
773-554-7090
Fax Number
person
Provider Business Mailing Address Details
Address
430 Victoria Ln
City
State
Zip
60124-3838
Phone Number
773-554-7090
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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